Michael M Marvi (NPI# 1205054129, PAC ID# 9436203858) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1205054129 |
| PAC ID by PECOS | 9436203858 |
| Professional Enrollment ID | I20090820000069 |
| Full Name | Michael M Marvi |
| Organization Legal Name | PROVIDENCE MEDICAL INSTITUTE |
| Address |
1870 Veteran Ave Apt 102 Los Angeles CA 90025-4569 |
| Phone Number | 4255256145 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 5991609737 |
| Number of Group Practice Members | 250 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050235 | PROVIDENCE SAINT JOSEPH MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 501 S Buena Vista St, Burbank, CA 91505-4809 | 8188473022 | PROVIDENCE MEDICAL INSTITUTE |
| 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 | 3108356627 | PROVIDENCE MEDICAL INSTITUTE |
| 1870 Veteran Ave, Apt 102, Los Angeles, CA 90025-4569 | 4255256145 | PROVIDENCE MEDICAL INSTITUTE |
| 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 8184964777 | PROVIDENCE MEDICAL INSTITUTE |
| 4101 Torrance Blvd, Torrance, CA 90503-4607 | 3103037496 | PROVIDENCE MEDICAL INSTITUTE |
| Organization Legal Name | PROVIDENCE MEDICAL INSTITUTE |
| Physicians | 252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Garner | Nurse Practitioner | Providence Medical Institute | 24035 Newhall Ranch Rd, Santa Clarita, CA 91355-5702 |
| Jennifer S Lee | Nurse Practitioner | Providence Medical Institute | 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 |
| Danielle N Anderson | Obstetrics/gynecology | Providence Medical Institute | 2601 W Alameda Avenue, Suite 212, Burbank, CA 91505-4800 |
| Julie A Gould | Obstetrics/gynecology | Providence Medical Institute | 405 N Maclay Ave, Suite 104, San Fernando, CA 91340-2455 |
| Reza Askari | Obstetrics/gynecology | Providence Medical Institute | 621 S Butte St, San Pedro, CA 90732-3510 |
| Brenda Shen | Family Medicine | Providence Medical Institute | 2382 Crenshaw Blvd, Suite 5, Torrance, CA 90501-3333 |
| Raj U Dugel | Ophthalmology | Providence Medical Institute | 4825 Torrance Blvd, Suite 100, Torrance, CA 90503-4167 |
| Jeffrey Work | Interventional Cardiology | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Peter J Georgio Ii | Family Medicine | Providence Medical Institute | 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 |
| Jin-hwa Simon | Hospitalist | Providence Medical Institute | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Street Address |
1870 VETERAN AVE APT 102 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90025-4569 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Galligani | Clinical Social Worker | 12340 Santa Monica Blvd, Suite 307, Los Angeles, CA 90025-0348 | |
| Bijan Nikakhtar | Nephrology | 12340 Santa Monica Blvd, West Los Angeles, CA 90025-0405 | |
| Kathy H.k. Langevin | Dermatology | Joshua M Wieder Md Inc | 12301 Wilshire Blvd, Suite 201, Los Angeles, CA 90025-1000 |
| Joshua M Wieder | Dermatology | Joshua M Wieder Md Inc | 12301 Wilshire Blvd, Suite 201, Los Angeles, CA 90025-1000 |
| Gloria Elizabeth Mucino | Clinical Social Worker | 12301 Wilshire Blvd, Suite 210, Los Angeles, CA 90025-1000 | |
| Anne V Mcarthur | Physical Therapy | 12401 Wilshire Blvd, Suite 105, Los Angeles, CA 90025-1015 | |
| Joan I Essenmacher | Physical Therapy | Peak Performance Consulting Inc | 12401 Wilshire Blvd, Suite 105, Los Angeles, CA 90025-1015 |
| Pallavi Jakatdar | Physical Therapy | Peak Performance Consulting Inc | 12401 Wilshire Blvd, Suite 105, Los Angeles, CA 90025-1015 |
| Robert Kilroy | Chiropractic | 12401 Wilshire Blvd, Suite 104, Los Angeles, CA 90025-1015 | |
| Shannon Collins | Physical Therapy | Peak Performance Consulting Inc | 12401 Wilshire Blvd, Suite 105, Los Angeles, CA 90025-1015 |
| Find all physicians in zip 90025 | |||
| City | LOS ANGELES |
| Zip Code | 90025 |
| Specialty | NEUROLOGY |
| City + Specialty | LOS ANGELES + NEUROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.